| Desert Family Dentistry Pllc | |
|
9880 S Rural Rd Suite 108 Tempe AZ 85284-4118 | |
| (480) 940-5422 | |
| (480) 940-5515 |
| Full Name | Desert Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9880 S Rural Rd, Tempe, Arizona |
| Authorized Official Name and Position | Clinton Robert Bascamp (OWNER) |
| Authorized Official Contact | 4809405422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Family Dentistry Pllc 9880 S Rural Rd Suite 108 Tempe AZ 85284-4118 Ph: (480) 940-5422 | Desert Family Dentistry Pllc 9880 S Rural Rd Suite 108 Tempe AZ 85284-4118 Ph: (480) 940-5422 |
| NPI Number | 1356529952 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356529952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5967 (Arizona) | Primary |
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